Diabetes: Eye Exam

eCQM / NQF #: CMS131v7 / 0055
Measure: Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period.
Numerator: Patients with an eye screening for diabetic retinal disease. This includes diabetics who had one of the following: A retinal or dilated eye exam by an eye care professional in the measurement period or a negative retinal exam (no evidence of retinopathy) by an eye care professional in the year prior to the measurement period.
Denominator: Patients 18-75 years of age with diabetes with a visit during the measurement period.
Denominator Exclusions: Exclude patients who were in hospice care during the measurement year.
Domain: Effective Clinical Care

 

In ChartMaker Clinical:

In order to qualify for this measure, the provider must have seen the patient (age 18 to 75) at least one time during the reporting period and have the appropriate information documented in the chart:

Required Data Elements for the Denominator:

Required Data Elements for the Numerator:

One of the following: 

EXCLUSION DETAILS:

Exclusion includes patients in hospice care during the measurement period.  In order to meet the requirements for this exclusion, the appropriate information must be documented in the chart:

ADDITIONAL INFORMATION:

•  The Eye Exam FINDING code should be used if the exam was performed outside of your office.  It should be linked to a procedure code marked as result in the procedure properties.

•   The Eye Exam PERFORMED code should be used if the exam was performed in your office.  It should be linked to a procedure code.

•   The eye exam must be performed by an ophthalmologist or optometrist.

•   Only patients with a diagnosis of Type 1 or Type 2 diabetes should be included in the denominator of this measure; patients with a diagnosis of secondary diabetes due to another condition should not be included.

•   The only data used to determine the denominator is data from the ChartMaker Clinical Module. If a patient encounter was not entered into the ChartMaker Clinical Module, that encounter is not included in the denominator for the statistical calculations on the Meaningful Use Dashboard. Please add these additional patients to the denominator and recalculate the percentage for Attestation purposes